ALEXIS GOODERHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236192

License Status

NOT RENEWED

Business

First Name

ALEXIS

Last Name

GOODERHAM

Business Name

ALEXIS GOODERHAM

Original Issue Date

09/14/2015

Effective Date

09/14/2015

Expiration Date

03/31/2016

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2016